Provider Demographics
NPI:1255165338
Name:AKANJI, JENEVETTE ABIT
Entity type:Individual
Prefix:
First Name:JENEVETTE
Middle Name:ABIT
Last Name:AKANJI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7761 RIVERDALE RD APT T2
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3925
Mailing Address - Country:US
Mailing Address - Phone:240-716-0023
Mailing Address - Fax:
Practice Address - Street 1:7761 RIVERDALE RD APT T2
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3925
Practice Address - Country:US
Practice Address - Phone:240-716-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No171M00000XOther Service ProvidersCase Manager/Care Coordinator